Individual
STEPHEN L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6156 WEST ANDREW JOHNSON HWY, TALBOTT, TN 37877
(423) 581-7629
(423) 581-6551
Mailing address
PO BOX 338, TALBOTT, TN 37877
(423) 581-7629
(423) 581-6551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TN796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3676064
—
TX
Enumeration date
08/23/2006
Last updated
02/24/2011
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